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General NPI Number Information
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NPI Number | 1427626985
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Entity Type | Organization
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Legal Business Name | RESPECT FAMILY THERAPY & CONSULTING
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Dates
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Enumeration Date | 06/11/2021
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Last Update Date | 06/11/2021
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Provider Practice Location Address
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Address Line | 503 N HWY 101, SUITE C,X TELEHEALTH
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City | SOLANO BEACH
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State | CA
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Zip | 92075
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Country | US
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Telephone | 619-784-1440
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Fax |
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Provider Business Mailing Address
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Address Line | 5663 BALBOA AVE # 429
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City | SAN DIEGO
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State | CA
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Zip | 92111-2705
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Country | US
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Telephone | 619-784-1440
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | COURTNEY OLINGER
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Credential | PSYD
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Telephone | 619-784-1440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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